Illinois General Assembly - Bill Status for HB5164

Amends the Illinois Act on the Aging. Requires the Department on Aging to establish and implement a Community Care Program Medicaid Initiative to: provide targeted funding to care coordination units to help seniors complete applications for medical assistance benefits under the State's Medical Assistance program; provide a funding pool to help care coordination units make improvements to the application process; establish requirements for State agencies to make enrollment in the Medical Assistance program easier for seniors; and other matters. Creates the Community Care Program Medicaid Enrollment Oversight Task Force to make recommendations on how best to increase the number of Illinois residents who are enrolled in the Community Care Program and receive services not paid for under the Medical Assistance program although they may be eligible for benefits. Provides for the membership of the Task Force. Requires the Task Force to provide oversight to the Initiative and to meet quarterly to provide the Department with data on the number of persons who receive Community Care Program services and are eligible for medical assistance but are not enrolled in the Medical Assistance program. Requires the Department to publish such data on its website and to collaborate with other agencies to determine how best to achieve the responsibilities of the Initiative. Establishes payment incentives to care coordination units that assist seniors in completing medical assistance applications. Provides that the Initiative shall cease operation 5 years after the effective date of the amendatory Act, after which the Task Force shall dissolve.

Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Makes changes to the composition of the Community Care Program Medicaid Enrollment Oversight Task Force. Requires the Department of Human Services and any other State agency involved with processing the medical assistance application of any person enrolled in the Community Care Program to include the appropriate care coordination unit in all communications related to the determination or status of the application. Provides that care coordination units shall receive payment for each completed application for those months in which the total statewide number of medical assistance applications all care coordination units helped seniors complete is at or above the total statewide number of medical assistance applications completed during the same month during calendar year 2017 (rather than a care coordination unit shall receive a payment for each completed application for those months in which the number of medical assistance applications the care coordination unit helps seniors complete is at or above the monthly average number of medical assistance applications the care coordination unit helped seniors complete in the same service area during calendar year 2017). Makes technical changes.

Replaces everything after the enacting clause. Reinserts the provisions of House Amendment No. 1, but with the following changes: Further amends the Illinois Act on the Aging. Removes references to the creation of the Community Care Program Medicaid Enrollment Oversight Task Force and instead creates the Community Care Program Medicaid Enrollment Oversight Subcommittee as a subcommittee of the Older Adult Services Advisory Committee to make recommendations on how best to increase the number of medical assistance recipients who are enrolled in the Community Care Program. Provides that the Subcommittee shall consist of certain appointed persons including one individual appointed by a labor organization representing front line employees at the Department of Human Services. Provides that the Subcommittee shall collaborate with the Department of Human Services on the adoption of a uniform application submission process (rather than the Department of Human Services shall adopt a uniform application submission process no later than 60 days after the effective date of the amendatory Act). In a provision authorizing payments to care coordination units for each completed Medicaid application, changes the payment rate to no less than $240 per completed application (rather than no less than $300 per completed application). Amends the Older Adult Services Act. Provides that the Older Adult Services Advisory Committee's Community Care Program Medicaid Enrollment Oversight Subcommittee shall have the membership and powers and duties set forth in the Illinois Act on the Aging.

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